Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $43.54 / $43.54	Professional		$43.54	$43.54	$43.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $59.38	Facility		$49.95	$49.95	$59.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $59.38	Facility		$49.95	$49.95	$59.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $78.59 / $92.48	Professional		$49.95	$78.59	$92.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $46.09 / $79.22	Professional		$44.76	$46.09	$79.22